Ocular Lesions Other Than Stings Following Yellow-Legged Hornet ( Vespa velutina nigrithorax ) Projections, as Reported to French Poison Control Centers

Autor: Jérôme Langrand, Luc de Haro, Nicolas Delcourt, Gaël Le Roux, Hervé Laborde-Castérot, Dominique Vodovar, Magali Labadie, Eric Darrouzet
Přispěvatelé: Institut de recherche sur la biologie de l'insecte UMR7261 (IRBI), Université de Tours-Centre National de la Recherche Scientifique (CNRS), VODOVAR, Dominique, Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université de Tours (UT)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), Hôpital Pellegrin, CHU Bordeaux [Bordeaux]-Groupe hospitalier Pellegrin, Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Toulouse Neuro Imaging Center (ToNIC), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Toulouse Mind & Brain Institut (TMBI), Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées, Hôpital Sainte-Marguerite [CHU - APHM] (Hôpitaux Sud ), Optimisation thérapeutique en Neuropsychopharmacologie (OPTeN (UMR_S_1144 / U1144)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), French Poison Control Centers Research Group, Darrouzet, Eric
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Eye Diseases
[SDV]Life Sciences [q-bio]
Wasps
MESH: Occupational Health
Periorbital Edema
Poison control
Wasp Venoms
MESH: Wasp Venoms
01 natural sciences
MESH: Occupational Exposure
Occupational safety and health
0302 clinical medicine
Interquartile range
MESH: Animals
Fluorescein Angiography
ComputingMilieux_MISCELLANEOUS
MESH: Eye Diseases
MESH: Middle Aged
medicine.diagnostic_test
Brief Report
Middle Aged
Fluorescein angiography
MESH: Fluorescein Angiography
Occupational Diseases
[SDV] Life Sciences [q-bio]
[SDV.TOX] Life Sciences [q-bio]/Toxicology
[SDV.MHEP.OS] Life Sciences [q-bio]/Human health and pathology/Sensory Organs
[SDV.TOX]Life Sciences [q-bio]/Toxicology
MESH: Pest Control
Female
France
MESH: Firefighters
MESH: Wasps
Adult
MESH: Occupational Diseases
medicine.medical_specialty
Poison Control Centers
Keratitis
03 medical and health sciences
Occupational Exposure
medicine
Animals
Humans
0101 mathematics
[SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs
Occupational Health
Retrospective Studies
Vespa velutina
MESH: Humans
business.industry
010102 general mathematics
MESH: Poison Control Centers
Correction
MESH: Adult
MESH: Retrospective Studies
Retrospective cohort study
medicine.disease
Dermatology
MESH: Male
eye diseases
MESH: France
Ophthalmology
Firefighters
030221 ophthalmology & optometry
Pest Control
business
MESH: Female
Zdroj: JAMA Ophthalmology
JAMA Ophthalmology, American Medical Association 2020
HAL
JAMA Ophthalmology, 2021, 139 (1), pp.105. ⟨10.1001/jamaophthalmol.2020.4877⟩
JAMA Ophthalmol
ISSN: 2168-6165
2168-6173
DOI: 10.1001/jamaophthalmol.2020.4877⟩
Popis: International audience; Importance: Since the accidental introduction of the yellow-legged hornet (Vespa velutina nigrithorax) in France in 2004, there have been reports of this insect unexpectedly projecting a liquid toward the human face, but ocular morbidity associated with this is unknown, to our knowledge.Objective: To describe a case series of ocular lesions after exposure to a liquid projection emitted by a hornet.Design, setting, and participants: This was an analysis of all cases of ocular exposure to a projection by a yellow-legged hornet (excluding stings in the eye) collected by French poison control centers between January 1, 2004, and December 31, 2019.Main outcomes and measures: Symptoms were evaluated, and a fluorescein eye stain test was used.Results: Twenty-nine cases were recorded (24 in male and 5 in female patients; median age, 40 [interquartile range, 11] years); the first occurred in 2009. Most cases (20 [80%]) were occupational exposure among professionals dealing with hornet nests (eg, firefighters, wasp exterminators). Symptoms consistent with conjunctivitis often resolved quickly after ocular decontamination, but 5 patients developed a periorbital edema, 2 experienced radiating neuropathic pain, and 2 experienced keratitis.Conclusions and relevance: These findings suggest that the projection of a liquid into the eyes by the yellow-legged hornet presents a new risk to human health, but its precise nature remains to be determined. Ocular lesions had a favorable outcome. For professionals who deal with these insects, adaptation of the usual protections designed for native hymenopterans may be warranted.
Databáze: OpenAIRE